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Organization

MARIE ANTOINETTE ALEXIS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARIE ANTOINETTE ALEXIS (ADMINISTRATOR)
(386) 338-7974
Entity
Organization

Contact information

Practice address
63 RYBERRY DR, PALM COAST, FL 32164-6438
(386) 206-4831
(386) 263-7649
Mailing address
63 RYBERRY DR, PALM COAST, FL 32164-6438
(386) 206-4831
(386) 263-7649

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary

Other

Enumeration date
05/11/2022
Last updated
05/16/2022
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